Baltimore Begins to Plan a Better Health System for Sandtown-Winchester

Design of a health care delivery system for a Baltimore neighborhood

    • March 1, 2002

From 1993 to 1995, staff at the City of Baltimore Department of Health developed a plan for a comprehensive, financially sustainable, community-based health care delivery system that would eliminate barriers to access and focus on prevention in an underserved neighborhood.

The project was part of a larger effort, initiated in 1990 by Baltimore Mayor Kurt Schmoke, to rebuild social support systems in one of Baltimore's poorest neighborhoods, Sandtown-Winchester.

Key Results

  • Local residents, health care providers, Baltimore's Health Department and the Enterprise Foundation (a nonprofit working to provide low to moderate income housing) formed a consortium aimed at planning a system that would include primary health care, substance abuse services and violence prevention services.

  • Consortium members and the community signed a compact outlining all participants' responsibilities at a public ceremony in March 1995.